Provider Demographics
NPI:1417954421
Name:BELL, DANIEL L (DPM, PA)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
Last Name:BELL
Suffix:
Gender:M
Credentials:DPM, PA
Other - Prefix:
Other - First Name:LAREDO
Other - Middle Name:FAMILY
Other - Last Name:FOOT CENTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM, PA
Mailing Address - Street 1:604 SHILOH DR STE 1
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-6766
Mailing Address - Country:US
Mailing Address - Phone:956-753-3668
Mailing Address - Fax:956-753-3672
Practice Address - Street 1:604 SHILOH DR
Practice Address - Street 2:SUITE 1
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6765
Practice Address - Country:US
Practice Address - Phone:956-753-3668
Practice Address - Fax:956-753-3672
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2022-05-03
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-05-02
Provider Licenses
StateLicense IDTaxonomies
TX1222213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX480030209OtherMEDICARE RAILROAD
TX4418530001OtherDMERC
TX157039201OtherMEDICAID DME
TX089812401Medicaid
TX157039202OtherMEDICAID HOME HEALTH
TX157039201OtherMEDICAID DME
TX089812401Medicaid